超选择性支气管动脉栓塞术治疗大咯血的临床效果分析  

Analysis of clinical efficacy of super-selective bronchial artery embolization in the treatment of massive hemoptysis

作　　者：王学静[1] 贾广志[1] 李建明[1] 

机构地区：[1]内蒙古医科大学附属医院介入放射科,内蒙古呼和浩特010050

出　　处：《临床肺科杂志》2013年第8期1428-1429,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨超选择性支气管动脉栓塞术治疗大咯血的临床价值。方法 52例大咯血患者经支气管动脉造影明确岀血动脉后行支气管动脉栓塞术,采用明胶海绵颗粒、明胶海绵条或联合弹簧钢圈进行栓塞。所有患者随访3～12月,观察栓塞术后有无再次岀血及并发症的发生。结果 52例患者均顺利完成支气管动脉栓塞术,于一周内咯血症状逐渐消失,其中6例患者分别于术后6月～10月后咯血复发,再次行性支气管动脉栓塞术咯血消失。无严重栓塞术后并发症发生。结论超选择性支气管动脉栓塞术是治疗大咯血安全、有效的治疗方法。Objective To evaluate the clinical effect of super-selective bronchial artery embolization in the treatment of massive hemoptysis.Methods 52 patients with massive hemoptysis were treated with selective bronchial artery embolization with gelatin sponge particles,gelatin sponge,or combination with steel coils.All patients were followed up for 3 ～ 12 months to observe the recurrence of hemoptysis and complications after bronchial artery embolization.Results All patients were successfully undergone super-selective bronchial artery embolization,and the symptoms gradually disappeared within one week.There were 6 cases of recurrence of hemoptysis 6 ～ 10 months after the bronchial artery embolization,and no serious complications occurred after the embolization.Conclusion The super-selective bronchial artery embolization is a safe and effective method in the treatment of massive hemoptysis.

关 键 词：支气管动脉栓塞术 咯血 

分 类 号：R56[医药卫生—呼吸系统]